first unit in is the last unit out

spimx

Forum Crew Member
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Say you are the first unit on scene with 3-4 patients mostly non-critical; should you be the last unit to leave the scene or can you just go ahead and load and transport the most critical patient as long as there is a fire officer on scene?
 
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spimx

Forum Crew Member
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Has everyone heard this idea and does anyone know where it came from, I don't see this idea in NIMS
 

CCCSD

Forum Deputy Chief
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Say you are the first unit on scene with 3-4 patients mostly non-critical; should you be the last unit to leave the scene or can you just go ahead and load and transport the most critical patient as long as there is a fire officer on scene?
You should transport all four, thus ensuring you are both First and Last.
 

Tigger

Dodges Pucks
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It is a common practice that the first ambulance may assume a medical group supervisor role which accounts for triage/treatment/transportation. This may mean you end up transporting the last few greens once everyone else is gone. But that’s pretty system specific, if Fire is IC and also providing patient care, then you might be transporting first.
 

DrParasite

The fire extinguisher is not just for show
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that's the big question... is the fire officer a medical provider providing patient care?

many years ago I was second due to an MVA in the next town over. the first arrive ambulance had a critical patient (pediatric passenger who was struck in the head by an unsecured spare tire, or something like that), so the ambulance gave me a poor status update (I think they said two non-criticals) and left for the trauma center. Us and the 3rd due ambulance showed up, only found LEO on scene tried to figure out what was going on, and each took a patient to the trauma center (theirs was a trauma, ours was not).

Was it right? you decide....
 
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